Organization
BENUELLI BROTHERS, INC.
Active
Other names
Northshore Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAGDI LATIF RPH (PRESIDENT)
(808) 828-1844
Entity
Organization
Contact information
Practice address
2460 OKA ST, KILAUEA, HI 96754-5308
(808) 828-1844
(808) 828-2866
Mailing address
2460 OKA ST, KILAUEA, HI 96754-5308
(808) 828-1844
(808) 828-2866
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY-434
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00102401
—
HI
Enumeration date
06/09/2006
Last updated
02/04/2008
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